Anthony Munaco
Family Medicine · Farmington, MINPI 1922068899
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.3% of the total across 163 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 16.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,793 and has fallen 97.7% since, to $42 in 2021.
Across 163 payments — averaging $13.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$367
- Astellas Pharma US Inc$233
- Merck$205
- Amgen$192
- GSK$187
- Teva Pharmaceuticals USA, Inc.$183
- plus $883 from 14 others
What the payments were for
- Food & beverage$2,16796%
- Education$834%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Pfizer | 20 | $367 |
| Astellas Pharma US Inc | 13 | $233 |
| Merck | 21 | $205 |
| Amgen | 14 | $192 |
| GSK | 14 | $187 |
| Teva Pharmaceuticals USA, Inc. | 13 | $183 |
| Novo Nordisk | 15 | $175 |
| Lilly USA, LLC | 15 | $134 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 8 | $112 |
| Boehringer Ingelheim | 5 | $86 |
| Ironshore Pharmaceuticals Inc. | 4 | $59 |
| Kowa Pharmaceuticals America, Inc. | 4 | $54 |
| AstraZeneca | 4 | $50 |
| Sanofi-aventis U.S. LLC | 3 | $45 |
| Amarin Pharma, Inc. | 3 | $41 |
| Shire North American Group Inc | 2 | $41 |
| Amneal Pharmaceuticals LLC | 2 | $25 |
| Esperion Therapeutics, Inc. | 1 | $24 |
| AbbVie | 1 | $23 |
| Eisai Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- EUCRISA$125
How this compares
$2,250 in reported general payments places this provider in the 80th percentile of 3,945 family medicine providers in Michigan.
Other family medicine in Farmington
- Loren ChudlerSouthfield$1.3M
- Paul BensonBerkley$779K
- Matt RosenbergJackson$550K
- Steve LasaterSaint Johns$291K
- Mary DagenGrand Rapids$265K
- Farhan BhattiLansing$230K
- Jeffrey DeitchSterling Heights$197K
- Sukhpreet SinghPlymouth$173K
- James VoigtOak Park$140K
- Timothy IzzoGrand Ledge$124K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.